NPI | 1639396765 |
---|---|
Former Legal Business Name | KATHLEEN W. JUDGE, MD, PA |
Entity Type | Organization |
Authorized Contact | KATHLEEN W. JUDGE Medical Director 407-481-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA ME72700) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-11-27 |